I’ve recently been trying to work out how to describe my difficulty talking about certain topics and trying to find out if this is an autism trait, a common co-occuring condition, or just anxiety. Lacking the right search terms hasn’t helped in that regard!

Neither selective mutism nor alexithymia seem to be quite the right terms, although it’s definitely connected to topics that carry emotional weight. I can have the whole concept or discussion that I want/need to have worked out in my head, but when the time comes my chest really tightens up and my throat feels restricted* and it’s like I have to physically push to get the sentences out.

(*) I know that this is a physical indicator of stress and am very much aware that I am stressed in that situation. However, it’s not the way I typically experience stress, though (I usually carry that in my shoulders/back and end up with vice headaches from high-stress situations).

It’s similar (but definitely not the same) as when I feel like I am bracing myself for a verbal assault (again, that manifests itself specifically in a lot of tension in back). I don’t think I’m expecting to be attacked, but it definitely feels like my system is screaming at me to not talk about whatever it is.

This is also distinctly different to when I can’t quite explain something or struggle to describe what I am feeling. In those cases I end up taking a minute to work out how to phrase what I am experiencing or describe the concept I am trying to explain (and I almost always have to break eye contact to do this).

Does anyone else experience this sort of difficulty and how would you describe it?

Edited to add clarification (also in one of the comments):

I can talk about lots of things (not just special interests) including divisive issues such as politics (and sometimes even when I know I’m likely to receive an unpleasant response), but it’s difficult to neatly categorise what types of topics cause this. If I had to guess, it would be topics surrounding my (emotional?) needs that are most likely to trigger this. The current one (and this was a challenge to even type) is the fact that a combination of health+work+life factors is currently making me feel like I’m stuck with no good options to resolve them and hence going to miss out on a lot of things in life that I value.

It’s not necessarily dependent on who the other party/parties in the conversation is/are, either. For example, I have an incredibly non-judgemental and compassionate GP and yet one of these instances occurred when trying to work through my health issues this year. My wife is incredibly understanding and patient as well, so it’s not as though it’s an unsafe environment for the above conversation either.

Movies are usually a subject I struggle with because it hurts just watching them all.

Is that normal for an autistic man like me?

Feel free to check out my other post too.

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2 points

I have something that may or may not be related: some stuff just makes me physically faint. It’s never sudden, I see it coming and if I manage to get away from the trigger, lay down and wait it goes away, but if I can’t do it quick enough I know it can be dangerous. Among the triggers are intense pain (like burning your stomach by swallowing something too hot) but also conversations about “real” body horror (a movie is fine, but somebody telling me about how their plan to get an operation often isn’t, back in middle school I remember fainting as the teacher was talking about some health risk).

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1 point

I can empathise with that feeling. I think it’s technically a form of panic attack; I have suspected nerve damage in one arm and cannot have blood drawn from the affected area (if I do, the pain is too much and I experience panic attack symptoms - nausea, sudden over-heating and sweating, light-headedness and vomiting). Apart from avoiding the triggers for it, I have also found that tensing one’s core and focusing on breathing helps (this reduces the drop in blood pressure and resulting drop in oxygen to the brain, which is what causes the light-headedness or fainting). I think body horror is a pretty typical trigger for this type of reaction too, so you’re definitely not alone there.

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8 points

It might help to know what topics bring up this feeling? To me it sounds like how I experience social anxiety. So maybe it’s just anxiety?

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1 point
*

Hmm, not sure. I can talk about lots of things (not just special interests) including divisive issues such as politics (and sometimes even when I know I’m likely to receive an unpleasant response), but it’s difficult to neatly categorise what types of topics cause this. If I had to guess, it would be topics surrounding my (emotional?) needs that are most likely to trigger this. The current one (and this was a challenge to even type) is the fact that a combination of health+work+life factors is currently making me feel like I’m stuck with no good options to resolve them and hence going to miss out on a lot of things in life that I value.

It’s not necessarily dependent on who the other party/parties in the conversation is/are, either. For example, I have an incredibly non-judgemental and compassionate GP and yet one of these instances occurred when trying to work through my health issues this year. My wife is incredibly understanding and patient as well, so it’s not as though it’s an unsafe environment for the above conversation either.

I also don’t recall feeling like this when I know I was nervous/anxious in my teens and early twenties trying to talk to new people (before I became practiced enough at small talk). It could definitely be anxiety, but if it is it’s not the typical way I experience it.

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3 points

yeah, sounds familiar. I’d also say it’s completely different than other situations where I’m usually lost for words, for instance if I need to react spontaneusly, delayed processing and such.

There are some things I just can’t find the right words for and/or not being able to articulate any of the words that would express what I have in my head, even though I have a conception of what to say. For me it’s about expressing emotions too. So I would begin 1, 2 words starting a sentence and then… no chance finishing it.

Usually my brain starts spinning quite intensely in these situations with either memories of similar past situations and thoughts about how to express what I’m trying to say, (kinda like overstimulation in mental images/thoughts leading to me not being able to think about what to actually do) or just turning completely blank, both in my head and verbally. Eye contact, definitely no.

I gave up on it over the years with people around me and avoid these topics and situations. However, my last therapist helped me a lot in this regard, as she always gave me the time I needed to find back to being able to speak again when it happened. Sometimes I sat there completely blank for minutes, just staring outside the window or at the walls, feeling panicky and the need to just jump up and leave the room. I actually did once, but felt really bad about it after as she was such a calm person that I usually always felt safe with. After that incident, and over time I learned to try and rephrase the initial sentence or try to express something else connected to the feeling I wanted to talk about, learning how to navigate the situation. So I guess there’s a possibility to make some progress.

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2 points

Thanks for sharing that. It’s definitely something I want to improve upon (hence asking here!) and will try to discuss it with my therapist at my next appointment. It sounds like you have a very good one and they make a world of difference.

It’s interesting that you link your experience to being overwhelmed. I regularly experience issues with overwhelm - when it’s bad enough I definitely get that feeling of wanting to run and hide, so I understand exactly what you mean - but I don’t think that’s what’s happening in my particular case when trying to talk about certain things. I guess it feels more like internal resistance than overwhelm.

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2 points

Sure, np. It always helps me to read other people’s experiences as well so I thought I’ll share that as it’s no issue for me to talk about it. Try to get into that topic with your therapist, maybe you will need some time or a few attempts, but I’m really wishing you the best with it!

Feeling overwhelmed is a secondary reaction to it that developed over time. Let’s put it that way, there’s been people that have not been as sensitive as my therapist an I’ve been in a few situations where people forced me to answer when I couldn’t + forced eye contact etc., which didn’t make it easier trying to express what you feel/have in your mind. Getting up and leave was the only way to escape these situations. Then, I was also bullied half my life. I think you get a better picture now.

I like your username btw, fellow plant friend :)

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2 points

Thanks! I fully expect it to take a couple of attempts and a bit of time, but hopefully it will result in some progress.

Yeah, I can empathise with being forced to answer / put on the spot like that. I can recall a few stressful interactions where people jumped to conclusions because I couldn’t formulate a response and then the whole thing got away from me. Sorry to hear that you were bullied; I think that is a common experience (at least one relative of mine was badly bullied growing up and I suspect I only suffered minimal bullying due to studying via distance education for much of my school years).

Glad you like the username! As you can probably guess, orchids (particularly Cymbidiums) are one of my special interests.

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3 points

…what are the specific topics op

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1 point

Sorry, I’ve tried to add more info.

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4 points
*

It seems like you’ve identified already that you have a weird mental block around expressing emotional “weakness.” Presumably someone has told you at some point either with word or with action that those expressions were unacceptable? Anyway yeah you probably need therapy. It also sounds like you need some time off or at least a reduced workload and possibly even medication. This just sounds to me like you’ve taken on way too much and your brain is starting to give out. You can let it give out now in a controlled fall or you can keep piling shit on and hope it doesn’t shatter until you’re in a better place. Take whichever gamble seems to make more sense.

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2 points

Considering one of the health issues this year has been severe autistic burnout, I would readily agree with a lot of that. Thanks for the feedback.

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